Is surgery necessary for appendicitis?

Written by Ren Zheng Xin
Gastroenterology
Updated on April 11, 2025
00:00
00:00

Once appendicitis is diagnosed, most cases require surgical treatment because the blood supply to the appendix is quite unique, with only the appendicular artery providing blood flow. If appendicitis occurs, it can easily lead to ischemic necrosis of the appendix, resulting in gangrenous appendicitis. Currently, laparoscopic appendectomy is a common surgical procedure, which is a minimally invasive treatment. For elderly or frail individuals who cannot tolerate surgery, conservative treatment is the only option. Postoperative care should be enhanced, with regular dressing changes at the incision site, and stitches can generally be removed one week after surgery. A semi-liquid diet is recommended for one to two days after surgery, and a regular diet can be resumed three to four days post-operation.

Other Voices

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
58sec home-news-image

Which location does appendicitis hurt?

The typical symptom of appendicitis is pain in the lower right abdomen. Generally, during acute appendicitis, the pain can last for several hours or even longer, with about 70% to 80% of patients experiencing characteristic migratory pain in the lower right abdomen. Migratory pain in the lower right abdomen refers to initial pain in the upper abdomen that later manifests as persistent pain in the lower right abdomen. However, some patients initially present with pain in the lower right abdomen directly. In some cases of pregnant women with acute appendicitis, due to the appendix being pushed upward by the enlarged uterus, pain can also occur in the upper right abdomen. Additionally, acute appendicitis is often accompanied by nausea, vomiting, abdominal pain, and diarrhea.

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
47sec home-news-image

Is surgery necessary for appendicitis?

Once appendicitis is diagnosed, most cases require surgical treatment because the blood supply to the appendix is quite unique, with only the appendicular artery providing blood flow. If appendicitis occurs, it can easily lead to ischemic necrosis of the appendix, resulting in gangrenous appendicitis. Currently, laparoscopic appendectomy is a common surgical procedure, which is a minimally invasive treatment. For elderly or frail individuals who cannot tolerate surgery, conservative treatment is the only option. Postoperative care should be enhanced, with regular dressing changes at the incision site, and stitches can generally be removed one week after surgery. A semi-liquid diet is recommended for one to two days after surgery, and a regular diet can be resumed three to four days post-operation.

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
52sec home-news-image

Can appendicitis be contagious?

Appendicitis is a nonspecific inflammation occurring in the lumen of the appendix. It is not contagious, therefore, it is not an infectious disease. Once appendicitis is diagnosed, it is mostly treated surgically because the main blood supply to the appendix is the appendicular artery, which can easily lead to ischemic necrosis during inflammation. If controlled solely by medication, symptoms are likely to recur easily. Currently, appendectomy is commonly performed using minimally invasive techniques, under laparoscopy, which results in less bleeding during surgery and faster recovery afterward. Generally, if there is no suppuration or perforation, patients can be discharged three days after surgery. Postoperative care should be enhanced, including eating more vegetables to prevent constipation.

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
51sec home-news-image

Appendicitis complications

Appendicitis is the inflammation of the appendix lumen. If not treated promptly, it can lead to several complications, such as perforation of the appendix. After perforation, pus from the appendix lumen leaks into the abdominal cavity, causing peritonitis, which leads to abdominal pain, tenderness, and rebound pain. Furthermore, if acute appendicitis is not thoroughly treated, it can progress to chronic appendicitis and periappendiceal abscess. A swollen mass can often be felt on the surface of the abdomen in affected patients. Therefore, active treatment for appendicitis is essential. The principle treatment is surgical removal of the appendix. For mild cases of appendicitis, medical conservative observation and treatment can also be chosen.

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
44sec home-news-image

Does appendicitis surgery hurt?

Appendectomy is performed under either epidural or general anesthesia, so the procedure is completely painless. However, postoperatively, as the anesthesia wears off, there may be slight pain at the incision site. Painkillers can be taken if the pain is intolerable. Additionally, close monitoring of vital signs is important postoperatively. Regular dressing changes at the surgical site and dietary control are required. For the first one to two days after surgery, a semi-liquid diet is recommended. From the third to the fifth day, patients can gradually transition to a normal diet. Furthermore, consuming high-protein foods can enhance nutrition and promote healing of the incision.